Kganya Motsha Adolescent Centre: a model for adolescent friendly HIV management and reproductive health for adolescents in Soweto, South Africa
Kganya Motsha Adolescent Centre: a model for adolescent friendly HIV management and reproductive health for adolescents in Soweto, South Africa
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DOI：
10.1080/09540121.2014.993352
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发表时间：
2015-06-03
影响因子：
1.7
通讯作者：
Gray, Glenda
中科院分区：
文献类型：
--
作者：
Nkala, Busisiwe;Khunwane, Mamakiri;Gray, Glenda
本文报道了 Kganya Motsha 青少年中心，这是一个专门为南非索韦托艾滋病毒呈阳性年轻人提供自愿咨询和检测以及管理的青少年项目。利用 2008 年至 2012 年年轻人获得服务的临床记录进行了回顾性横断面分析。在 11,522 名接受测试的人中，7689 名 (67%) 是女性。 HIV 感染总数为 410 例，HIV 感染率为 3.6%（95% CI 3.2-3.9%）。感染 HIV 的女性（332 人，4% vs. 72 人，2%；p < 0.0001）多于男性。在 HIV 检测呈阳性的人中，109 人 (26.5%) 的 CD4 细胞计数中位数为 491 (IQR 345-686) 个细胞/mm(3)。只有 12/410 人（2.9%）有资格接受抗逆转录病毒治疗，其中 10 人（2.4%）成功接受了治疗。该计划观察到，艾滋病毒检测呈阳性的年轻人不会回来获取后续血液样本或确认结果。未来的计划应考虑创新的方法来让青少年得到照顾，以减少可能导致健康状况恶化的潜在艾滋病毒传播。
This paper reports on Kganya Motsha Adolescent Centre, an adolescent program specifically established to provide voluntary counseling and testing as well as management of HIV-positive young people in Soweto, South Africa. A retrospective cross-sectional analysis, using clinic records of young people accessing services from 2008 to 2012, was conducted. Of the 11,522 who tested, 7689 (67%) were females. The total number of HIV infections was 410, with an HIV prevalence of 3.6% (95% CI 3.2-3.9%). More females (332, 4% vs. 72, 2%; p < 0.0001) were HIV-infected than males. Of those testing HIV positive, 109 (26.5%) had a median CD4 cell count of 491 (IQR 345-686) cells/mm(3). Only 12/410 individuals (2.9%) were eligible for antiretroviral treatment and 10 (2.4%) of those successfully received treatment. The program observed that young people testing HIV positive would not return for follow up blood specimens or confirmatory results. Future programs should consider innovative ways of retaining adolescents in care to reduce potential HIV transmissions that could lead to deteriorating health.